Project Information

Project ID: 215348 DEA: 060U4204 EFIS: 0616000004 QA Service Level: 1

DIST-CO-RTE-PM: 06-FRE-99-R4.9/11.6

Work Description: CONSTRUCT CRCP, PLACE HMA, AND ROADWAY EXCAVATION.

Location Description: FRESNO COUNTY IN AND NEAR SELMA AND FOWLER FROM MCCALL AVENUE UNDERCROSSING TO 0.5 MILE NORTH OF MERCED STREET UNDERCROSSING

Contractor Name: SECURITY PAVING COMPANY, INC.

Contractor Address: 3075 Townsgate Rd. Suite 200, Westlake Village CA 91361

Resident Engineer: Chris Wilfong Structure Rep.: Unknown

Sample Information

DIME Sample ID: 2023-12-15-5

TL Number from the TL Form:

Sample Submitted By Organization: CT D06 - Millbrook Field Laboratory

Sample Organization Contact: (559) 417-5341

Type of Sample: Department Acceptance

Type of Material: Aggregate

Sample Taken Date: 12/15/2023

Date that the sample was received by the laboratory/organization performing the testing: 12/15/2023

The quantity of what the sample constitutes: 405 T

A brief description of the sample: 3/4" HMA coldfeed

From where was the sample collected: Manufacturer

Laboratory sample identification:

Structure unique identifier:

Structure name:

The fabricator/manufacturer/facility name: Vulcan Ashlan

Material Information

Source Identification (SMARA, name of Pit or Job Site): 91-20-0016

The fabricator's/manufacturer's product name for the sample:

The fabricator/manufacturer designation for the sample:

The plant number:

A detailed description of where the material sample was collected: Conveyor Belt

Where the material sample would have been placed if not sampled:

Primary Aggregate Nominal Size: 3/4 inch

The concrete mix design number:

Lot number: 16

Sublot number: 4

Aggregate Mix Number:

Tests Assigned to this Sample

DIME Test ID	Test Method	Assigned Date	Test Date	Assigned By	Assigned Lab
2023-12-15-5-1	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	12/15/2023	Not scheduled	Arthur Mills	CT D06 - Millbrook Field Laboratory
2023-12-15-5-2	AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)	12/15/2023	Not scheduled	Arthur Mills	CT D06 - Millbrook Field Laboratory
2023-12-15-5-3	AASHTO T27-14: Standard Method of Test for Sieve Analysis of Fine and Coarse Aggregates (Sieve Analysis)	12/15/2023	Not scheduled	Arthur Mills	CT D06 - Millbrook Field Laboratory
2023-12-15-5-4	AASHTO T176-08: Standard Method of Test for Plastic Fines in Graded Aggregates and Soils by Use of the Sand Equivalent Test (Sand Equivalent)	12/15/2023	Not scheduled	Arthur Mills	CT D06 - Millbrook Field Laboratory

Sample Record for 2023-12-15-5

Project Information